HomeMy WebLinkAboutBuilding Permit Application 05/17/2016 12:27PM FAX 7726217882 ALL CITY PLUMBING Two 00001/0003
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/17/2016 Permit Number: 0
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Building Permit Application MAY 17 2016
Planning and Development Services PER.10ITTiNG
Building and Code Regulation Division St. Lucie County, i=L
2.300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
RROPOEO.".111/i;P.ROVEIVIINT,LO. ATI.ON
Address: 9913 Perfect Drive /
Legal Description: &)j, Yl) _T*d deC.0A ,/ 6 i7/�.�YJ� ,Sll _„(>•��o � _
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project.Name:
Setbacks Front Back: Right Side: Left Side_
:l ETAlLE'D.CS:E C IPT!-ON.IOF.I�VORK:
R
40 Gal Electric Water Heater
`CONSTRU'Cl hDN.1.NFO1
Additional work o
— e orme un ert is permit -c ec,a appy:
❑HVAC FGasTank ❑Gas Piping Shutters ❑Windows/Doors
11 Electric r Plumbing Sprinklers CGenerator Roof
Total Sq.Ft of Construction. Sq. Ft.of First Floor:
Cost of Construction:$ 500 Utilities: Sewer USeptic Building Height:
OWNER :..CONTRACTOR:
-. I.
Name E Richard Ktages Name: Jason Parish
Address:9913 Perfect Drive Company: All City Plumbing Two, Inc.
City: Port St.Lucie State:FL Address: PO Box 880641
Zip Code: 34986 Fax: City: Port Saint Lucie state-FL
Phone No. Zip Code: 34985 Fax: 772-621-7882
E-Mail: Phone No. 772.631-3038
Fill in fee simple Title Holder on next page(if different E-Mail: holly@allcitypiumbingtwopsl.com
from the Owner listed above): State or County license: CFC1427492
If value of construction Is S2500 o i more,a RECORDED Notice of Commencement is required.
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05/17/2018 12:28PM FAX 7726217882 ALL CITY PLUMBING Two IM0002/0003
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'Sl7P:P� MENTAL CONSTRU.CTIO,N LIEN N 'ORIVIATION;
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DESIGNER/ENGINEER: I x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City —State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: : x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone' Zip: Phone•
I certify that no work or,installatlon has commenced prior to the issuance of a permit.
St.Lurie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any appli6ble Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,l do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following bullding permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your1failure to Record,a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing,consult with lender or an attorney before
commencing work or record!ng your Notice of Commencement.
s
i ure of Owner/Lessee/Agent Si at a of Contracto nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFS•Lucie COUNTY OFat.Lwa
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of_ 20 __by this '7!" day of 20 ,by
Jason E.Paixh A. Jason E.Parish
(Name of person acknowledging)I (Name of person acknowledging)
AAjrAJAtLUD
- i
gnature of NotW Public-State hof Florida) i nature of NctaoPublic-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification _
Type of Identification Produced_I Type of Identification Produced
Commission No. 513MG09 (9 A t. 55=No. EEeasese
_a MY co"AWASRAN)
Revised 07/15/2014 � 7$ti ale
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REVIEWS FRONT ZONING SUPER ISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REV( W REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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